Neurological Symptoms as the First Presentation of Transitional Cell Carcinoma of Renal Pelvis

We present a rare case with history of neurological symptoms due to multiple brain metastases and no urological symptoms. During patient evaluation for primary tumor, transitional cell carcinoma (TCC) of left renal pelvis was found. The patient underwent gamma knife stereotactic radio-surgery for the metastatic brain lesions. Radical nephroureterectomy was performed,and a 4-cycle course of paclitaxel and carboplatin chemotherapy was administered for the patient. The disease is stable and the patient is still alive after the 34 months follow-up duration.